Swimmers with Down Syndrome Are Healthier and Physically Fit than Their Untrained Peers.

While there are positive benefits from physical activity participation for individuals with Down syndrome, little is known about the effects of swimming training. The aim of this study was to compare the body composition and physical fitness profile of competitive swimmers and moderately active (untrained) individuals with Down syndrome. The Eurofit Special test was applied to a group of competitive swimmers (n = 18) and a group of untrained individuals (n = 19), all with Down syndrome. In addition, measurements were taken to determine body composition characteristics. The results showed differences between swimmers and untrained subjects in height, sum of the four skinfolds, body fat %, fat mass index and all items of the Eurofit Special test. Swimmers with Down syndrome exhibited physical fitness levels near to the Eurofit standards, although lower fitness levels were attained by these persons when compared to athletes with intellectual disability. It can be concluded that the practice of competitive swimming seems to counteract the tendency for obesity in persons with Down syndrome and also helps to increase strength, speed and balance.

Tryptophan and Non-Tryptophan Fluorescence of the Eye Lens Proteins Provides Diagnostics of Cataract at the Molecular Level.

The chemical nature of the non-tryptophan (non-Trp) fluorescence of porcine and human eye lens proteins was identified by Mass Spectrometry (MS) and Fluorescence Steady-State and Lifetime spectroscopy as post-translational modifications (PTM) of Trp and Arg amino acid residues. Fluorescence intensity profiles measured along the optical axis of human eye lenses with age-related nuclear cataract showed increasing concentration of fluorescent PTM towards the lens centre in accord with the increased optical density in the lens nucleolus. Significant differences between fluorescence lifetimes of "free" Trp derivatives hydroxytryptophan (OH-Trp), N-formylkynurenine (NFK), kynurenine (Kyn), hydroxykynurenine (OH-Kyn) and their residues were observed. Notably, the lifetime constants of these residues in a model peptide were considerably greater than those of their "free" counterparts. Fluorescence of Trp, its derivatives and argpyrimidine (ArgP) can be excited at the red edge of the Trp absorption band which allows normalisation of the emission spectra of these PTMs to the fluorescence intensity of Trp, to determine semi-quantitatively their concentration. We show that the cumulative fraction of OH-Trp, NFK and ArgP emission dominates the total fluorescence spectrum in both emulsified post-surgical human cataract protein samples, as well as in whole lenses and that this correlates strongly with cataract grade and age.

Assessment of fatigue thresholds in 50-m all-out swimming.

CONTEXT: It is essential to determine swimmers' anaerobic potential and better plan training, understanding physiological effects of the fatigue. PURPOSE: To study changes in the characteristics of the intracyclic velocity variation during an all-out 50-m swim and to observe differences in speed and stroking parameters between these changes. METHODS: 28 competitive swimmers performed a 50-m front-crawl all-out test while attached to a speedometer. The velocity-time (v[t]) curve off all stroke cycles was analyzed per individual using a routine that included a wavelet procedure, allowing the determination of the fatigue thresholds that divide effort in time intervals. RESULTS: One or 2 fatigue thresholds were observed at individual level on the v(t) curve. In males, when 1 fatigue threshold was identified, the mean velocity and the stroke index dropped (P < .05) in the second time interval (1.7 ± 0.0 vs 1.6 ± 0.0 m/s and 3.0 ± 0.2 vs 2.8 ± 0.3 m/s, respectively). When 2 fatigue thresholds were identified, the mean velocity of the first time interval was higher than that of the third time interval (P < .05), for both male (1.7 ± 0.0 vs 1.6 ± 0.1 m/s) and female (1.5 ± 0.1 vs 1.3 ± 0.1 m/s) swimmers. CONCLUSION: One or 2 fatigue thresholds were found in the intracyclic velocity-variation patterns. Concurrently, changes in velocity and stroke parameters were also observed between time intervals. This information could allow coaches to obtain new insights into delaying the degenerative effects of fatigue and maintain stable stroke-cycle characteristics over a 50-m event.

Exercise, manual therapy, and education with or without high-intensity deep-water running for nonspecific chronic low back pain: a pragmatic randomized controlled trial.

OBJECTIVES: The aim of this study on persons with nonspecific chronic low back pain was to evaluate the effect of a multimodal physical therapy program with or without the addition of deep-water running on pain, physical disability, and general health. DESIGN: A randomized controlled trial involving 46 subjects with nonspecific chronic low back pain were treated three times a week for 15 wks. Each group received 60 mins of multimodal physical therapy program (an individualized exercise program; manual therapy; and back care, pain education, and information on an active lifestyle), whereas one group performed additional 20-min sessions of deep-water running at an individual workload of the aerobic threshold. RESULTS: Both interventions resulted in significant improvements in pain, disability, and physical health. The mean change in pain, disability, and physical health state were -36.1 ± 25.1 mm on the visual analog scale, -3.0 ± 4.8 points for the Roland Morris Questionnaire, and 10.6 ± 12.9 points for the Short Form-12 for the physical therapy plus deep-water running group and -34.1 ± 26.0 mm on the visual analog scale, -1.6 ± 1.5 points for the Roland Morris Questionnaire, and 8.9 ± 13.0 points for the Short Form-12 for the physical therapy alone group. CONCLUSIONS: Pain, disability, health status, muscle strength and endurance, and lumbar range of motion significantly improved in both groups. The addition of a deep-water running program at an individual workload of the aerobic threshold to the multimodal physical therapy program produced a significant improvement in pain in patients with nonspecific chronic low back pain, but this was not significantly different when compared with multimodal physical therapy program alone. Disability, health status, muscle strength and endurance, and lumbar range of motion significantly improved to a similar level in both intervention groups.

Influence of swimming speed on inter-arm coordination in competitive unilateral arm amputee front crawl swimmers.

This study examined the effect of swimming speed on inter-arm coordination and the inter-relationships between swimming speed, inter-arm coordination, and other stroke parameters, in a group of competitive unilateral arm amputee front crawl swimmers. Thirteen highly-trained swimmers were filmed underwater during a series of 25-m front crawl trials of increasing speed. Arm coordination for both arms was quantified using an adapted version of the Index of Coordination. Inter-arm coordination of the amputee swimmers did not change as swimming speed was increased up to maximum. Swimmers showed significantly more catch-up coordination of their affected-arm compared to their unaffected-arm. When sprinting, the fastest swimmers used higher stroke frequencies and less catch-up of their affected-arm than the slower swimmers. Unilateral arm-amputees used an asymmetrical strategy for coordinating their affected-arm relative to their unaffected-arm to maintain the stable repetition of their overall arm stroke cycle. When sprinting, the attainment of a high stroke frequency is influenced mainly by the length of time the affected-arm is held in a stationary position in front of the body before pulling. Reducing this time delay appears to be beneficial for successful swimming performance.

Relationships between the front crawl stroke parameters of competitive unilateral arm amputee swimmers, with selected anthropometric characteristics.

The purpose of this study was to determine the relationships between swimming speed (SS), stroke length (SL), and stroke frequency (SF) for competitive single-arm amputee front crawl swimmers and assess their relationships with anthropometric characteristics. Thirteen highly trained swimmers (3 male, 10 female) were filmed underwater from a lateral view during seven increasingly faster 25-m front crawl trials. Increases in SS (above 75% of maximum SS) were achieved by a 5% increase in SF, which coincided with a 2% decrease in SL. At SSmax, interswimmer correlations showed that SF was significantly related to SS (r = .72; p < .01) whereas SL was not. Moderate but nonsignificant correlations suggested that faster swimmers did not necessarily use longer and slower strokes to swim at a common submaximal speed when compared with their slower counterparts. No correlations existed between SL and any anthropometric characteristics. Biacromial breadth, shoulder girth, and upper-arm length all significantly correlated with the SF used at SSmax. These findings imply that as a consequence of being deprived of an important propelling limb, at fast swimming speeds SF is more important than SL in influencing the performance outcome of these single-arm amputee swimmers.

Cardiovascular responses during thermoneutral, head-out water immersion in patients with coronary artery disease.

PURPOSE: Water is frequently recommended as a therapeutic medium for cardiac patients. Reports on the cardiovascular response to immersion often differ, however, depending, for instance, if full or partial immersion were considered. The purpose of this study was to examine the cardiovascular responses to 2 immersion protocols in 3 age and gender-matched groups of patients each with a specific coronary artery disease. METHODS: Fifteen patients with coronary artery disease entered water using a stepwise immersion (STEP) protocol (5 stages in 15 minutes) and an immediate, complete immersion (IM) protocol (2 stages in 6 minutes). Cardiac indices were monitored by transthoracic echocardiography. The heart rate was generated from the electrocardiogram, and blood pressure was measured using a manual mercury manometer. RESULTS: The end-diastolic volume, end-systolic volume, stroke volume, and cardiac output decreased during STEP but increased during IM. As a consequence, the preload on the heart was greater during IM. Changes in systolic blood pressure were comparable in the 2 situations. The immersion-related decrease of heart rate was seen during STEP, but not during IM. Nevertheless, the hemodynamic responses to the initial stages of STEP up to the ankle joint were quite similar to those observed during immediate immersion to the neck. CONCLUSION: The cardiovascular responses to IM and STEP differed between protocols and even among subgroups within the same protocol. The findings further suggest that isolated immersion of body extremities can be beneficial to patients with coronary artery disease as preliminary preparation before complete water immersion is undertaken.

The relationship between functional potential and field performance in elite female wheelchair basketball players.

The functional classification system for wheelchair basketball is based on an analysis of the players' functional resources through field-testing and game observation. Under this system, players are assigned a score of 1 to 4.5. The aim of this study was to determine if the wheelchair basketball player classification system reflects the existing differences in performance of elite female players. During the World Championship for Wheelchair Basketball in Sydney 1998, eight teams were videotaped for three 40-min games for a total of 120 min per team. Fifty-nine female players (Class I [1 and 1.5 points] n=12; Class II [2 and 2.5 points] n=20; Class III [3 and 3.5 points] n=13; Class IV [4 and 4.5 points] n=14) were retained for a detailed performance analysis by means of the Comprehensive Basketball Grading System (CBGS). Two-way analysis of variance showed high point players to perform better compared with low point players for the majority of variables determining the quality of game performance. A lack of significant differences between two adjacent classes was explained on the basis of the methodological approach, the class-position relationship in this sample, and the performance level of women's wheelchair basketball. We conclude that the performance of elite female wheelchair basketball players is dependent on functional ability.